Provider Demographics
NPI:1477210763
Name:BOVEE, CHRISTINA (BS, CAS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:BOVEE
Suffix:
Gender:F
Credentials:BS, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 621001
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80162-1001
Mailing Address - Country:US
Mailing Address - Phone:720-410-1570
Mailing Address - Fax:
Practice Address - Street 1:6655 W JEWELL AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7190
Practice Address - Country:US
Practice Address - Phone:303-975-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-21
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)